City of Victoria Form Center

2. Number of people in your household*

   1. 1
   2. 2
   3. 3
   4. 4
   5. 5
   6. 6
   7. 7
   8. 8 or more
4. Your age*
6. Do you currently have a recycling cart?*

   1. Yes
   2. No
   3. Unsure
8. How important is recycling to you?*

   1. Very important
   2. Important
   3. Unimportant
   4. Very unimportant
10. How familiar are you with what can and can't be recycled in Victoria?*

    1. Very familiar
    2. Somewhat familiar
    3. Not at all familiar/unsure
12. Did you know that the City sells compost made from collected yard waste?*

    1. Yes
    2. No
    3. Knew that the City sold compost but didn't know where it came from
14. What would help you to recycle more effectively? Check all that apply.*

    1. More helpful information on City website
    2. New information stickers on recycle carts
    3. Tag or reminder left on carts
    4. Information campaign - mailers, PSAs, etc.
    5. Other
16. If "other," please specify here.
18. In the past few years, have you needed to get rid of large household items? (mattress, furniture, appliances, etc.) *

    1. Yes
    2. No
    3. Don't remember
20. If "yes," what did you do with them? If you disposed of more than one item, check all that apply.

    1. Placed them in my trash cart or took them to the landfill
    2. Called the City to schedule a pickup
    3. Placed them on my curb, but did not call the City
    4. Gave them to someone else
    5. It is still stacked behind my house
    6. Other/don't remember
22. In the past few years, have you needed to get rid of household hazardous waste or electronics?*

    1. Yes
    2. No
    3. Don't remember
24. If "yes," what did you do with them? If you disposed of more than one item, check all that apply.

    1. Placed them in my trash cart or took them to the landfill
    2. Called Waste Management (At-Your-Door Household Hazardous Waste Service) to schedule a pickup
    3. Placed them on my curb, but did not call the City or Waste Management
    4. Recycled or disposed of them through a private company other than Waste Management
    5. Gave them to someone else
    6. It is still stacked behind my house
    7. Other/don't remember
26. In the past few years, have you needed to get rid of tree limbs and brush (not including small yard waste picked up on your regular collection day)?*

    1. Yes
    2. No
    3. Don't remember
28. If "yes," what did you do with them? If you disposed of tree limbs or brush more than once, check all that apply.

    1. Placed them in my trash cart or took them to the landfill
    2. Called the City to schedule a pickup
    3. Placed them on my curb, but did not call the City
    4. Reused or repurposed them
    5. Gave them to someone else
    6. It is still stacked behind my house
    7. Other/don't remember
30. Address
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31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

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